Individual
LETITIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20115 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1689
(248) 299-0030
Mailing address
20115 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1689
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
4703112086
MI
Other
Enumeration date
10/10/2014
Last updated
10/13/2014
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